Individual provider Active NPI

Joshua Drew Elorreaga, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1902567167
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
810 N Zang Blvd
Dallas, TX 75208-4263
Phone
(214) 941-4243
Fax
(214) 941-1153
NPI assigned
Jan 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

810 N Zang Blvd
Dallas, TX 75208-4263

Mailing address

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

Other practice location 1

1201 W University Drive
Edinburg, TX 78539
Phone (956) 882-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000358 TX Practitioner - Physician Assistant 0345636171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (469) 695-2065

2700 E Broad St
Mansfield, TX 76063-5899
Phone (214) 884-4700

2975 E Broad St
Suite 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

4560 Lake Ridge Pkwy
Grand Prairie, TX 75052-1706

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

979 Don Floyd Dr
Midlothian, TX 76065-6289
Phone (817) 453-3500

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince May 9, 2022 Accepting new patients
Medhealth CurrentSince May 9, 2022 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

3450 W Wheatland Rd
Ste 340
Dallas, TX 75237
Phone (214) 941-4243

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

810 N Zang Blvd
Dallas, TX 75208
Phone (214) 941-4243

12230 Coit Rd
Ste 130
Dallas, TX 75251
Phone (214) 941-4243

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

979 Don Floyd Dr
Ste 216
Midlothian, TX 76065
Phone (469) 846-5200

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1902567167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Drive",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "78539",
            "country_code": "US",
            "telephone_number": "956-882-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELORREAGA",
        "first_name": "JOSHUA",
        "middle_name": "DREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.